AT A GLANCE 2021 PROGRAMS AND PREMIUMS - Harvard Staff Members in the Bargaining Units of HUCTW, HUSPMGU, and Local 26 - HR Harvard
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AT A GLANCE 2021 PROGRAMS AND PREMIUMS Harvard Staff Members in the Bargaining Units of HUCTW, HUSPMGU, and Local 26
WELCOME TO YOUR HARVARD UNIVERSITY BENEFITS! At Harvard, we are committed to offering an array of benefits that are part of your generous total rewards package. We encourage you to take the time to review your benefit options so that you can make the best choices for you and your family. And remember: You have 30 days from your date of hire or qualifying life event to make your benefit elections.
2021 HEALTH PLANS (HUGHP AND BCBSMA) Harvard offers subsidized medical coverage from Harvard University Group Health Plan (HUGHP) and Blue Cross Blue Shield of MA (BCBSMA). You may select individual or family coverage from the following types of plans: • Health Maintenance Organization (HMO)—With an HMO, you select a primary care physician (PCP) who coordinates your care and can provide you with referrals to in-network specialists. Out-of-network care is not covered, except in certain emergency situations. • Point-of-Service Plan (POS)—As with an HMO, you designate a PCP. However, you have the flexibility to use out-of- network providers with higher out-of-pocket costs. • Preferred Provider Organization (PPO)—This plan, offered through BCBSMA, is available only to employees who reside outside New England. With this plan, you can go to any health care professional you choose, in or out of the network, without a PCP referral. You will have higher out-of-pocket costs for out-of-network care. COMPARE YOUR MEDICAL PLANS IN-NETWORK OUT-OF-POCKET MAXIMUM INDIVIDUAL FAMILY Medical $2,000 $6,000 Prescription Drug $4,600 $7,200 MEMBER COSTS HMO POS (PPO*) Inpatient Hospital $100 copayment $100 copayment Outpatient Hospital $100 copayment $100 copayment Emergency Room $100 copayment $100 copayment Preventive Care as Defined by Covered in full Covered in full Affordable Care Act Office Visits—PCP and Specialist $25 copayment $25 copayment Physical/Occupational Therapy (limited to 60 visits per type of therapy $25 copayment $25 copayment per calendar year) Chiropractic Care $25 copayment $25 copayment (limited to 18 visits per calendar year) Acupuncture $25 copayment $25 copayment (limited to 20 visits per calendar year) High-Tech Imaging $50 copayment $50 copayment (e.g., MRI, PET scan, CT scan) Inpatient: $100 copayment per admission Inpatient: $100 copayment per admission Mental Health/Substance Abuse Outpatient: $25 copayment Outpatient: $25 copayment Outpatient Diagnostic Labs/X-rays Covered in full Covered in full * Available through BCBSMA only for employees who reside outside New England. Harvard Staff Members in the Bargaining Units of HUCTW, HUSPMGU, and Local 26
COMPARE YOUR MEDICAL PLANS OUT-OF-NETWORK POS (PPO*) DEDUCTIBLE Per Individual $750 Family Maximum $2,500 OUT-OF-POCKET MAXIMUM Per Individual $2,500 Family Maximum $7,500 MEMBER COSTS Office Visits and 30% after out-of-network deductible Hospital Services Inpatient: deductible, then Mental Health/ 30% coinsurance Substance Abuse Outpatient: 20% coinsurance, no deductible * Available through BCBSMA only for employees who reside outside New England. PRESCRIPTION DRUG COSTS GENERIC PREFERRED BRAND NON-PREFERRED BRAND Retail at participating pharmacy (up to 30-day supply) $7 $20 $45 IN-NETWORK Mail order through Express Scripts (up to 90-day supply) $14 $50 $110 OUT-OF-NETWORK Submit receipt to be reimbursed for discounted in-network cost (POS AND PPO ONLY) minus applicable in-network copayment.
TIERED RATES FOR 2021 Harvard offers four salary tiers for medical premiums based on your full-time equivalent (FTE) salary. If you work part-time, your salary tier and premiums are based on your FTE salary. MONTHLY TIER 1: LESS TIER 2: TIER 3: TIER 4: $100,000 COST BY THAN $55,000 $55,000–$74,999 $75,000–$99,999 AND ABOVE SALARY TIER EMPLOYEE FAMILY EMPLOYEE FAMILY EMPLOYEE FAMILY EMPLOYEE FAMILY HMO HUGHP* $92 $248 $106 $287 $142 $385 $179 $482 BCBSMA $113 $304 $127 $343 $163 $441 $200 $538 POS HUGHP $129 $346 $143 $385 $179 $483 $216 $580 BCBSMA $150 $403 $164 $442 $200 $540 $237 $637 PPO (for employees who reside outside New England) BCBSMA $150 $403 $164 $442 $200 $540 $237 $637 * HUGHP HMO is available only to employees who reside in Massachusetts. DENTAL PLAN PREMIUMS LONG TERM DISABILITY INSURANCE PREMIUMS MONTHLY COST FTE SALARY TIER ANNUAL COST PER $100 OF SALARY EMPLOYEE $20 Less than $15,000 $0.229 FAMILY $56 $15,000–$69,999 $0.261 $70,000–$94,999 $0.563 VISION PLAN PREMIUMS $95,000 and above $0.710 MONTHLY COST EMPLOYEE $6.62 SUPPLEMENTAL LIFE INSURANCE PREMIUMS FAMILY $15.23 COST PER COVERED INDIVIDUAL (EMPLOYEE, SPOUSE/DOMESTIC PARTNER) METLIFE LEGAL PLANS AGE* MONTHLY COST PER AGE* MONTHLY COST PER $1,000 OF INSURANCE $1,000 OF INSURANCE MONTHLY COST OF COVERAGE < 25 $0.020 55–59 $0.144 $16.50 25–29 $0.023 60–64 $0.184 IDENTITY THEFT PROTECTION 30–34 $0.027 65–69 $0.336 MONTHLY COST OF COVERAGE 35–39 $0.032 70–74 $0.535 Individual $9.95/Family* $17.95 40–44 $0.040 75–79 $0.982 *T hose you financially support or who live under your 45–49 $0.059 80+ $1.406 roof are covered under the family plan. 50–54 $0.092 * Based on age of employee, not age of spouse/domestic partner. COST OF COVERAGE FOR DEPENDENT CHILD(REN)* COVERAGE AMOUNT MONTHLY COST OF COVERAGE $5,000 $0.50 $10,000 $1.00 * One monthly premium covers all of your eligible children. You have 30 DAYS from your date of hire or qualifying life event to make your benefit elections.
BENEFITS CONTACTS Have questions or need more information about your benefits? Here’s where you can find more information and answers. Remember: You can always find the latest benefits contact information at hr.harvard.edu/vendor-contacts. TOPIC WHOM TO CONTACT PHONE ONLINE hr.harvard.edu/health-welfare-benefits General Benefits Questions Harvard Benefits 617-496-4001 benefits@harvard.edu Dental Coverage Delta Dental 800-872-0500 deltadentalma.com 844-600-3978 Disability—Short Term and Lincoln Financial Group (toll-free Harvard- MyLincolnPortal.com Long Term dedicated line) 855-HVD-FLEX Flexible Spending Accounts— benstrat.com Benefit Strategies (855-483-3539) Health Care and Dependent Care hvdflex@benstrat.com (F) 603-232-1854 info.legalplans.com Legal Coverage MetLife Legal Plans 800-821-6400 Access code: 9260452 800-638-6420 Life Insurance MetLife metlife.com (Prompt 1) Genworth Life Insurance Long Term Care Insurance 800-416-3624 genworth.com/harvard Company Identity Theft Protection Allstate 800-789-2720 allstateidentityprotection.com Medical Coverage Questions: HUGHP: HMO and POS 617-495-2008 hughp.harvard.edu Service Areas, Costs, Provider Networks, Emergency Coverage, BCBSMA: HMO, POS, 888-389-7732 bluecrossma.com and Referrals and PPO Prescription Drug Coverage Express Scripts 877-787-8684 express-scripts.com 855-HVD-FLEX Copayment Reimbursement benstrat.com Benefit Strategies (855-483-3539) Program hvdflex@benstrat.com (F) 603-232-1854 Harvard University 800-527-1398 hr.harvard.edu/retirement Retirement Center Tax-Deferred Annuity Plan TIAA (including financial/ and Retirement Programs 800-527-1398 tiaa-cref.org retirement planning, Appointments: one-on-one appointments, 800-732-8353 tiaa.org/schedulenow and planning tools) TAP Guidelines 617-496-4001 hr.harvard.edu/tuition-assistance Tuition Assistance Program (TAP) and Tuition Non-Harvard course 855-HVD-FLEX benstrat.com/harvard Reimbursement Program reimbursements: Benefit (855-483-3539) hvdtuition@benstrat.com Strategies, LLC (F) 603-232-1854 Vision Care EyeMed 866-804-0982 eyemed.com HUCTW – 55 HUSPMGU – 7 Local 26 – 21
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